Fact checkedExpert's opinion

Expert's opinion

The article is a subjective view on this topic written by writers specializing in medical writing.
It may reflect on a personal journey surrounding struggles with an illness or medical condition, involve product comparisons, diet considerations, or other health-related opinions.

Although the view is entirely that of the writer, it is based on academic experiences and scientific research they have conducted; it is fact-checked by a team of degreed medical experts, and validated by sources attached to the article.

The numbers in parenthesis (1,2,3) will take you to clickable links to related scientific papers.

Keto Vs Paleo 2024: The Differences Between 2 Low-carb Diets

Teresa Mboci

Updated on - Written by
Medically reviewed by Dr. Maya Frankfurt, PhD

keto vs paleo
Paleo and keto diets share many benefits but have some fundamental differences. Photo: Foto by KKK/Shutterstock

Today, the paleo vs. keto diets are among the most widely discussed eating plans. Certainly, they both have potential that motivates researchers to dig deeper. The diets are often combined with supplements for weight loss for optimal results. Paleo and keto diet plans share many benefits but have some fundamental differences. To determine if a keto or paleo diet is best, we must look at the facts rather than just the marketing claims.  So, here’s what we learned after researching dozens of reliable sources:

The Difference Between Keto And Paleo

The main difference between paleo and keto is the basis for their creation. 

Although the keto diet is sometimes used as a catch-all for paleo, South Beach, Atkins, and other similar low-carbohydrate diets, they also differ in

  • Amounts of cholesterol.
  • Dairy product regulations.
  • Vegetable variety.

The paleo and keto diets are nutrient-dense, promote weight loss, and protect against cardiovascular disease. However, the two diets omit essential foods such as grains, and some starchy vegetables (like potatoes), increasing the risk of micronutrient deficiency.

What Is The Difference Between Keto And Paleo Diets?

What Is The Difference Between Keto And Paleo Diets
The most significant difference is in the types of foods they encourage or forbid. Photo: Tatiana Bralnina/Shutterstock

The Basis Of Their Formulation

The keto diet chooses foods based on carbohydrate content, while the paleo diet bases its selection on the diet of early humans. 

Emphasis On and Against Fat Intake

Consumption of consumable fat is the most noticeable difference in the comparison of keto vs. paleo diets. While ketogenic diets rely heavily on saturated and unsaturated fats, paleo diets do not.

Dairy Products

Paleo diets are anti-dairy, whereas ketogenic diets allow certain types. Flavored yogurts are discouraged on the ketogenic diets, but high-fat plain yogurt and cheeses like cheddar and provolone are encouraged. 

Variety Of Vegetables

The Paleo diet encourages a wider variety of fruits and vegetables, including starchy vegetables, whereas ketogenic diets are more restrictive.

What Is The Paleo Diet?

The Paleolithic era, which occurred 2.5 million years ago,[1] inspired the paleo diet. The diet is also known as the hunter-gatherer diet, caveman diet, or stone-age diet. It consists of foods thought to have been consumed by early humans who lived during the period. Lean meat, fish, seeds, nuts, eggs, fruits, and vegetables are the staples of the Paleolithic diet. It does not include dairy products, cereals, or processed foods.

The paleo diet claims human genes[2] are not naturally adjusted to today’s foods. As a result, the mismatch between modern food and human genes is the root cause of obesity, diabetes, and heart disease.

Benefits Of Paleo Diets

Supports Weight Loss

Paleolithic diets are low in carbohydrates and sugars, which are known to cause weight gain. It promotes organic foods while condemning highly processed foods, artificial ingredients, and colorings. Moreover, it promotes weight loss by recommending healthy food choices like fruits and most vegetables. Studies have shown it lowers triglycerides,[3] low-density lipoprotein cholesterol, and total cholesterol.

Rich In Essential Nutrients

The paleo diet for weight loss can be high in nutrients like potassium, fiber, and antioxidants, all of which benefit your overall health. But this is only true if you replace your grains and dairy with fruits and vegetables. 

Prevents Cardiovascular Disease

This diet is believed to be beneficial for type 2 diabetes and cardiovascular health. The paleo diet can lower cholesterol and triglyceride levels and may have weight-loss effects. It lowers the risk of cardiovascular diseases such as high blood pressure, heart attack, and stroke.

Prevents Diabetes

The diet discourages the consumption of sugars and carbohydrates. As a result, people following the Paleo diet long term can lower the risk of diabetes.

Reduces Blood Pressure

Studies have shown that the paleo diet may lower fasting plasma glucose,[3] insulin, and sugar stuck in red blood cells.

Shortcomings Of Paleo Diets

It Can Be Expensive To Implement

The paleo diet promotes fruits, vegetables, and natural foods with a short shelf life. But natural foods like seafood and pasture-raised meat may be more expensive than processed foods. 

Discourages Some Essential Foods

The paleo diet excludes entire food groups, such as whole grains and dairy products, which can cause significant deficiencies over time. It may result in a lack of essential nutrients[3] such as calcium, choline, and vitamin D.[4] While there are alternative calcium sources in vegetables, these sources may be bound up by phytic acid, an antinutrient found in some high-fiber foods. Thus, you may need more supplemental calcium than consumed to meet your daily recommended intake[5] (1,000-1,200 mg/day for healthy adults).

Red Meat Risks

Some researchers have expressed concern about excessive red meat consumption in the paleo diet. Excessive intake of red meat has been linked to cardiovascular disease[6] and diabetes in studies.

What Is The Keto Diet?

The ketogenic diet is a very low-carb diet that’s moderate in protein and requires significantly reduced carb intake. The keto diet can be a catch-all term for paleo, South Beach, and Atkins diets. However, unlike the paleo diet, keto diets are based on the idea that restricting carbohydrates forces the body to burn fats. 

It thereby supports weight loss through ketosis. Ketosis is a metabolic state in which the body actively burns fat reserves instead of glucose for consistent energy release. The ketogenic diet is composed of 55% to 90% fat,[7] 30% to 35% protein (or 1 mg/kg body weight), and 5% to 10% carbohydrates. Note that few keto diets contain more than 75% fat calories except those used in treating epilepsy in children.

Benefits Of Keto Diets

Provides Sustainable Energy

The keto diet restricts carbohydrate consumption, forcing the body to generate energy from fat reserves. It also may not give you the usual sugar crash after eating a carb-filled meal.

Supports Weight Loss

Carbohydrates are easier to digest and more easily obtained from food. As a result, the body primarily breaks down carbohydrates to produce energy. On the other hand, ketosis burns stored fats, which aids in weight loss.[7]

Prevents Cardiovascular Diseases 

With fat loss, the ketogenic diet can lower the risk of cardiovascular diseases,[8] such as stroke and high blood pressure. Of course, this depends on the quality of the diet since you can technically eat great amounts of red meat and dairy — which will negatively affect your overall health. 

Also, because of their low carbohydrate content, ketogenic diets are becoming increasingly popular for managing type 2 diabetes.[9] 

Keto Diets Shortcomings

High In Saturated Fats

Saturated fats can be abundant in the ketogenic diet, increasing the risk of heart disease. Some studies show that the keto diet can increase cholesterol,[10] worsening cardiovascular risk, but others say the high cholesterol results from weight loss. This is why the food quality and the amount of vegetables eaten are so important when considering the keto diet. 

The high-fat content of the keto diet can also overwork the liver,[11] exacerbating pre-existing conditions. 

May Cause Deficiencies

The ketogenic diet restricts many fruits, starchy vegetables, and grains. Eliminating or restricting such foods risks the depletion of micronutrients like magnesium, selenium, phosphorus, and vitamins B and C. Additionally, constipation is exacerbated by the absence of fibrous foods such as grains and legumes.

Overworks The Kidneys

The ketogenic diet can be moderately high in protein, which can overwork your kidneys and lead to kidney stones,[12] among other problems.

 Deprives Mental Energy

Sugars from healthy carbohydrates allow the brain to function at its best. A lack of carbohydrates can lead to mood swings,[13] confusion, and irritability. 

Similarities Between The Paleo Diet And Keto

While the two are entirely different, there are some similarities between the paleo vs. keto diets:

No Grains And Legumes

Both the paleo and keto diets discourage grains. Given that they were not a part of the diet of early man, grains and legumes have a counter-effect on the paleo diet. They also negatively impact the keto diet due to their carbohydrate content.

No Unhealthy Foods

The paleo and ketogenic diets discourage the consumption of refined carbohydrates, sugars, and processed foods. Such foods are regarded as harmful in various health contexts. Both diets advocate swapping them for whole foods like meat, fish, fruits, vegetables, nuts, and seeds.

High Likelihood Of Weight Loss

Obesity, high blood pressure, and heart disease are all addressed by the keto and paleo diets. The diets are well-known for their ability to help people lose weight.

Both Encourage Complementary Lifestyle Habits

The paleo and keto diets promote pairing healthy diets with healthy routines like exercise and stress management.

Paleo Vs Keto: How To Choose The Right Diet For You

Paleo Vs Keto How To Choose The Right Diet For You
Flexibility, cooking experience, and cultural factors should be considered when choosing a diet. Photo: Tatjana Baibakova/Shutterstock

When deciding which diet to follow, many factors must be considered. This includes the flexibility of your daily routine, cooking experience, and cultural factors.

Flexibility 

A keto meal plan may be best for you if your work schedule is hectic because it allows easy-to-prepare foods. 

Cooking Experience 

Learning to cook for either diet is helpful because they emphasize fresh and homemade meals while discouraging processed foods.

Cost

Both diets require fresh, natural foods, so the cost of implementing them is roughly equal. However, paleo diets may be expensive due to the prohibition of legumes, grains, and dairy. Plus, they encourage pasture-raised animal products, which can be quite costly. 

Likability 

You will be following either diet for months or years. Therefore, you should consider how you like their variety of food.

Cultural And Social Factors 

If cultural or religious beliefs restrict you, you must consider a diet that provides equally satisfying alternatives.

Nutritional Value 

Consider which diet provides a broader variety of foods to meet your daily nutrient requirements. 

Finally, remember that healthy lifestyle changes take time. You can also combine healthy meal plans with fat burner supplements for faster results. With patience, self-compassion, and small, achievable goals, you can develop lifelong healthier habits and avoid yo-yo dieting stress.

The Bottom Line

Choosing and implementing a new diet takes time and effort — but there’s no magic pill to healthy living. 

It takes lots of patience and self-care because actual results take time to develop — and they last. But a simple diet plan can help you get started. 

The paleo and keto diets share many foods, but the slight differences can significantly influence your choice. While paleo diets are based on foods eaten before farming, ketogenic diets are anti-carbohydrates. You can look up tasty and healthier recipes that substitute for your favorite foods, particularly high-processed treats. 

Either way, any diet can be successful if you eat a balanced diet with lots of fresh fruits and vegetables and avoid unhealthy foods like sugar and refined carbohydrates.


+ 13 sources

Health Canal avoids using tertiary references. We have strict sourcing guidelines and rely on peer-reviewed studies, academic researches from medical associations and institutions. To ensure the accuracy of articles in Health Canal, you can read more about the editorial process here

  1. Challa, H.J., Manav Bandlamudi and Uppaluri, K.R. (2023). Paleolithic Diet. [online] Nih.gov. Available at: https://www.ncbi.nlm.nih.gov/books/NBK482457/.
  2. Alt, K.W., Al‐Ahmad, A. and Johan Peter Woelber (2022). Nutrition and Health in Human Evolution–Past to Present. Nutrients, [online] 14(17), pp.3594–3594. doi:https://doi.org/10.3390/nu14173594.
  3. Frączek, B., Aleksandra Pięta, Burda, A., Mazur-Kurach, P. and Florentyna Tyrała (2021). Paleolithic Diet—Effect on the Health Status and Performance of Athletes? Nutrients, [online] 13(3), pp.1019–1019. doi:https://doi.org/10.3390/nu13031019.
  4. Titcomb, T.J., Babita Bisht, Moore, D.D., Chhonker, Y.S., Murry, D.J., Snetselaar, L. and Wahls, T.L. (2020). Eating Pattern and Nutritional Risks among People with Multiple Sclerosis Following a Modified Paleolithic Diet. Nutrients, [online] 12(6), pp.1844–1844. doi:https://doi.org/10.3390/nu12061844.
  5. Nih.gov. (2014). Office of Dietary Supplements – Calcium. [online] Available at: https://ods.od.nih.gov/factsheets/calcium-HealthProfessional/.
  6. Rica, N., Hanne Christine Bertram, Heddie Mejborn, Lars Ove Dragsted, Kristensen, L., Jorge Ruiz Carrascal, Bügel, S. and Astrup, A. (2021). Meat and Human Health—Current Knowledge and Research Gaps. Foods, [online] 10(7), pp.1556–1556. doi:https://doi.org/10.3390/foods10071556.
  7. Masood, W., Pavan Annamaraju, Khan, Z. and Uppaluri, K.R. (2023). Ketogenic Diet. [online] Nih.gov. Available at: https://www.ncbi.nlm.nih.gov/books/NBK499830/‌
  8. ‌Luo, W., Zhang, J., Xu, D., Zhou, R., Zhou, Q., Qin, Y. and Qiujv Lv (2022). Low carbohydrate ketogenic diets reduce cardiovascular risk factor levels in obese or overweight patients with T2DM: A meta-analysis of randomized controlled trials. Frontiers in Nutrition, [online] 9. doi:https://doi.org/10.3389/fnut.2022.1092031.
  9. Alarim, R.A., Alasmre, F.A., Alotaibi, H.A., Mohammed Ali Alshehri and Hussain, S.A. (2020). Effects of the Ketogenic Diet on Glycemic Control in Diabetic Patients: Meta-Analysis of Clinical Trials. Cureus. [online] doi:https://doi.org/10.7759/cureus.10796.
  10. Burén, J., Ericsson, M., Teixeira, R. and Sjödin, A. (2021). A Ketogenic Low-Carbohydrate High-Fat Diet Increases LDL Cholesterol in Healthy, Young, Normal-Weight Women: A Randomized Controlled Feeding Trial. Nutrients, [online] 13(3), pp.814–814. doi:https://doi.org/10.3390/nu13030814.
  11. Anekwe, C.V., Chandrasekaran, P. and Fatima Cody Stanford (2020). Ketogenic Diet-induced Elevated Cholesterol, Elevated Liver Enzymes and Potential Non-alcoholic Fatty Liver Disease. Cureus. [online] doi:https://doi.org/10.7759/cureus.6605.
  12. Girma Minalu Ayele, Rediet Tefera Atalay, Mamo, R.T., Hussien, S., Beimnet Nigussie, Fissha, A. and Michael, M.B. (2023). Is Losing Weight Worth Losing Your Kidney: Keto Diet Resulting in Renal Failure. Cureus. [online] doi:https://doi.org/10.7759/cureus.36546.
  13. Marwan El Ghoch, Calugi, S. and Riccardo Dalle Grave (2016). The Effects of Low-Carbohydrate Diets on Psychosocial Outcomes in Obesity/Overweight: A Systematic Review of Randomized, Controlled Studies. Nutrients, [online] 8(7), pp.402–402. doi:https://doi.org/10.3390/nu8070402.‌‌‌‌‌‌‌
Teresa Mboci

Medically reviewed by:

Maya Frankfurt

A dedicated pediatric nurse with a passion for nutrition and wellness, Teresa has made it her mission to empower families with the tools and knowledge they need to promote optimal health and well-being in their children. With over 8 years of experience in the healthcare field and a background in nutrition, Teresa brings a unique perspective to the challenges facing families today. In her role as a pediatric nurse, Teresa has seen firsthand the impact that diet and lifestyle can have on a child's health, and in her writing, she shares her expertise and insights with a broader audience. Whether through her books, articles, or speaking engagements, Teresa is committed to helping families navigate the complexities of pediatric health and wellness with confidence and compassion.

Medically reviewed by:

Maya Frankfurt

Journal of Physical Education and Sport

Trusted Source

Go to source

SciELO - Scientific Electronic Library Online

Trusted Source

Go to source

African Journals Online

Non-profit Platform for African Journals

Trusted Source
Go to source

Journal of The American Board of Family Medicine

American Board of Family Medicine

Trusted Source
Go to source

Informit

RMIT University Library

Trusted Source
Go to source

European Food Safety Authority

Science, Safe food, Sustainability

Trusted Source
Go to source

OrthoInfo

American Academy of Orthopaedic Surgeons

Trusted Source
Go to source

American Academy of Family Physicians

Strengthen family physicians and the communities they care for

Trusted Source
Go to source

Agricultural Research Service

U.S. Department of Agriculture

Trusted Source
Go to source

The American Journal of Medicine

Official Journal of The Alliance for Academic Internal Medicine

Trusted Source
Go to source

National Institute on Alcohol Abuse and Alcoholism

Database From National Institute Of Health

Trusted Source
Go to source

Lippincott Journals

Subsidiaries of Wolters Kluwer Health, Inc.

Trusted Source
Go to source

National Institute on Aging

Database From National Institute Of Health

Trusted Source
Go to source

Translational Research

The Journal of Laboratory and Clinical Medicine

Trusted Source
Go to source

Cell

An All-science Publisher

Trusted Source
Go to source

Journal of Translational Medicine

BioMed Central

Part of Springer Nature
Go to source

Federal Trade Commission

Protecting America's Consumers

Trusted Source
Go to source

National Human Genome Research Institute

Database From National Institute Of Health

Trusted Source
Go to source

Food Production, Processing and Nutrition

BioMed Central

Part of Springer Nature
Go to source

BMC Gastroenterology

BioMed Central

Part of Springer Nature
Go to source

ACS Publications

A Division of The American Chemical Society

Trusted Source
Go to source

Annual Reviews

Independent, Non-profit Academic Publishing Company

Trusted Source
Go to source

PubChem

National Center for Biotechnology Information

National Library of Medicine
Go to source

PLOS Journals

Nonprofit Publisher of Open-access Journals

Trusted Source
Go to source

Thieme E-books & E-Journals

Peer-reviewed & Open Access Journal

Trusted Source
Go to source

European Journal of Agriculture and Food Sciences

Peer-reviewed International Journal Publishes

Trusted Source
Go to source

Royal Society of Chemistry Publishing Home

Chemical Science Journals, Books and Database

Trusted Source
Go to source

Frontiers

Publisher of Peer-reviewed Articles in Open Acess Journals

Trusted Source
Go to source

De Gruyter

German Scholarly Publishing House

Trusted Source
Go to source

Hindawi

Open Access Research Journals & Papers

Trusted Source
Go to source

Oilseeds and Fats, Crops and Lipids

EDP Sciences

Trusted Source
Go to source

Cambridge Core

Cambridge University Press

Trusted Source
Go to source

FoodData Central

U.S. Department Of Agriculture

Trusted Source
Go to source

Journal of the American Heart Association

Peer-reviewed Open Access Scientific Journal

Trusted Source
Go to source

National Center for Complementary and Integrative Health

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

The Americans with Disabilities Act

U.S. Department of Justice Civil Rights Division

Trusted Source
Go to source

Journal of the Academy of Nutrition and Dietetics

Organization of Food and Nutrition Professionals

tr
Go to source

Sage Journals

Database From Sage Publications

Trusted Source
Go to source

National Institute of Drug Abuse

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

The ClinMed International Library

A Repository and an Open Access Publisher for Medical Research

Trusted Source
Go to source

The Royal Society Publishing

United Kingdom's National Academy of Sciences

Trusted Source
Go to source

APA PsycNet

Database From American Psychological Association

Trusted Source
Go to source

The Pharma Innovation Journal

Peer-reviewed And Refereed Journal

Trusted Source
Go to source

Asian Journal of Pharmaceutical Research and Development

Peer-reviewed Bimonthly Journal

Trusted Source
Go to source

British Pharmacological Society

Journals - Wiley Online Library

Trusted Source
Go to source

American Psychological Association

Scientific and Professional Organization of Psychologists

Trusted Source
Go to source

AAP Publications

Database From American Academy of Pediatrics

Trusted Source
Go to source

Karger Publishers

Academic Publisher of Scientific and Medical Journals and Books

Trusted Source
Go to source

Cambridge University Press & Assessment

Database From Cambridge University

Trusted Source
Go to source

National Institute of Mental Health

Database From National Institute Of Health

U.S. Department of Health and Human Services
Go to source

MDPI

Publisher of Open Access Journals

Trusted Source
Go to source

Bulletin of the National Research Centre

Part of Springer Nature

Trusted Source
Go to source

The New England Journal of Medicine

Massachusetts Medical Society

Trusted Source
Go to source

Economic Research Service

U.S. DEPARTMENT OF AGRICULTURE

Trusted Source
Go to source

MedlinePlus

Database From National Library of Medicine

U.S Department of Health and Human Services
Go to source

National Institute of Health

An agency of the U.S. Department of Health and Human Services

Trusted Source
Go to source

Trusted Source

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

The BMJ

Weekly Peer-reviewed Medical Trade Journal

The British Medical Association
Go to source

The British Psychological Society

The British Psychological Society is a charity registered in England

Database From Wiley Online Library
Go to source

National Heart, Lung, and Blood Institute

Database From National Institute Of Health

U.S Department of Health and Human Services
Go to source

PubMed

Database From National Institute Of Health

U.S National Library of Medicine
Go to source

DailyMed

Database From National Institute Of Health

U.S National Library of Medicine
Go to source

Google Scholar

Go to source

Science.gov: USA.gov for Science

Government Science Portal

Go to source

ResearchGate

Social Network Service For Scientists

Find and share research
Go to source

American Heart Association

To be a rentless force for a world of longer, healthier lives

Go to source

BioMed Central

Research in progress

Go to source

JAMA Network

Home of JAMA and the Specialty Journals of the American Medical Association

Go to source

Springer Link

Database From Springer Nature Switzerland AG

Springer - International Publisher Science, Technology, Medicine
Go to source

ODS

Database from Office of Dietary Supplements

National Institutes of Health
Go to source

Federal Trade Commission

Bureaus of Consumer Protection, Competition and Economics
Go to source

Trusted Source

Database From U.S. Department of Health & Human Services

Governmental Authority
Go to source

Oxford Academic Journals

Oxford University Press

Trusted Source
Go to source

Taylor & Francis Online

Peer-reviewed Journals

Academic Publishing Division of Informa PLC
Go to source

WHO

Database from World Health Organization

Go to source

Journal of Neurology

Peer-reviewed Medical Journal

American Academy of Neurology Journal
Go to source

ScienceDirect

Bibliographic Database of Scientific and Medical Publications

Dutch publisher Elsevier
Go to source

Wiley Online Library

American Multinational Publishing Company

Trusted Source
Go to source

Centers for Disease Control and Prevention

U.S. National Public Health Agency

U.S Department of Health and Human Services
Go to source

Trusted Source

Database from U.S. National Library of Medicine

U.S. Federal Government
Go to source

U.S. Food & Drug Administration

Federal Agency

U.S Department of Health and Human Services
Go to source

PubMed Central

Database From National Institute Of Health

U.S National Library of Medicine
Go to source
Feedback

Help us rate this article

Thank you for your feedback

Keep in touch to see our improvement